Individual provider Active NPI

Alan Wang, M.D.

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1417395799
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
56771 Issued in AZ
Practice address
755 E McDowell Rd FL 3
Phoenix, AZ 85006
Phone
(602) 521-3300
NPI assigned
Jun 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 56771 AZ Primary

Addresses

Primary practice location

755 E McDowell Rd FL 3
Phoenix, AZ 85006

Mailing address

755 E McDowell Rd FL 3
Phoenix, AZ 85006-2506

Other practice location 1

901 Walnut St
Ste 400
Philadelphia, PA 19107-5214
Phone (215) 955-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181004000372 AZ Practitioner - Neurology 9638486798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Arizona College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

755 E McDowell Rd
Phoenix, AZ 85006-2506
Phone (602) 521-3086

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
69.75
Promoting interoperability
98
Improvement activities
40
Cost
68.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56771AZMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Mar 1, 2018 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Mar 1, 2018 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Sep 1, 2018 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Sep 1, 2018 Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients

Locations

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

4375 E Irma Ln
Phoenix, AZ 85050
Phone (480) 890-5800

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

755 E McDowell Rd
Fl 3
Phoenix, AZ 85006
Phone (602) 521-3201

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1417395799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E MCDOWELL RD FL 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E MCDOWELL RD FL 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85006",
            "telephone_number": "602-521-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Walnut St",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075214",
            "country_code": "US",
            "telephone_number": "215-955-1234",
            "fax_number": "215-503-2430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "56771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.